DEPARTMENT OF INSURANCE

Affiliations

Name	Womack, Mandisa Kibibi	DOIID	1017653	NAIC NPN	17705300

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	11/1/2018	3/31/2021
Inactive	Non Resident	Agent	Health	10/19/2023	3/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Life	6/10/2020	3/31/2021
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	10/26/2023	3/31/2025
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	12/19/2019	3/31/2021
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/26/2023	3/31/2025
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/26/2023	3/31/2025
Inactive	American Continental Insurance Company	643130	Agent - Life	12/19/2019	3/31/2021
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	9/19/2019	4/7/2020
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/19/2023	11/17/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/19/2023	11/17/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/19/2023	11/17/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/16/2020	3/31/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/16/2020	3/31/2021
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	10/19/2023	2/14/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/19/2023	11/17/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/19/2019	3/31/2021
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	11/19/2019	3/31/2021
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	11/19/2019	3/31/2021
Inactive	Lumico Life Insurance Company	300354	Agent - Health	6/10/2020	3/31/2021
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/26/2023	3/31/2025
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/19/2023	2/14/2024
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/19/2023	2/14/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/19/2019	3/31/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/19/2019	3/31/2021